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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019201075
Report Date: 07/02/2024
Date Signed: 07/02/2024 03:57:37 PM

Document Has Been Signed on 07/02/2024 03:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:A RAY OF SUNSHINEFACILITY NUMBER:
019201075
ADMINISTRATOR/
DIRECTOR:		LEE-GONZALES, MESALINA G.FACILITY TYPE:
735
ADDRESS:8111 ALDEA STREETTELEPHONE:
(510) 676-6427
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 6CENSUS: 4DATE:
07/02/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:52 PM
MET WITH:Mesalina Lee GonzalesTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 07/02/2024 at 1:52 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Inspection. LPA met with Administrator Mesalina Lee Gonzales and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen,common area and backyard. All indoor and outdoor passageways are kept free of obstruction comfortable temperature for clients is maintained at 72 degree F. LPA observed lighting in all rooms are adequate for comfort and safety of the clients. Hot water temperature in the bathroom was measured at 118 degree F. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/20/2023. Emergency disaster plan was last posted on 07/28/2020. Fire drill was last conducted on 06/04/2024.

At 2:35 PM, LPA reviewed 4 clients' records. At 2:50 PM, LPA reviewed 5 staff records. All staff and client files were complete. at 2:10 PM, All clients medications were reviewed.

No deficiencies were cited during the visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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